Evaluation of fibular head transposition, lateral fabellar suture, and conservative treatment of cranial cruciate ligament rupture in large dogs: a retrospective study

Abstract

Sixty-one large dogs (weighing 22.7 kg or more) with cranial cruciate ligament ruptures (CCLRs) were treated with either fibular head transpositions (FHTs; n = 22 stifles), lateral fabellar sutures (LFSs; n = 39 stifles), or conservatively (CT; n = 11 stifles) with rest and aspirin. Based on owner evaluation, dogs treated with FHTs or CT did not perform as well as dogs treated with LFSs (p less than 0.05). There was no difference in owner evaluation scores for the dogs treated with FHTs or CT. Thirty dogs were reevaluated by investigators. No differences between treatment groups regarding age, sex, or time until diagnosis were noted. No differences in scores for lameness, stifle instability, or forceplate analysis among the treatment groups were observed. Degenerative joint disease progressed or remained severe regardless of treatment, based upon radiographic evidence.

Clinical and radiographic evaluation of a polyester prosthesis in dogs with cranial cruciate ligament rupture

“…Clinical evaluation of gait in dogs might present errors, as the mood of the dog, location of testing, weather and many other factors can affect arthritic pain besides being a subjective evaluation of lameness (CHAUVET et al, 1996). Thus, improvement in gait, as observed in this study, simply demonstrates adaptation from individual dogs to the condition where shifting the weight could result in a better clinical evaluation, or it could represent stability after joint capsule tickening, or both.…”

“…Signs of progression of degenerative joint disease are commom in radiographic studies concerning the postoperative evaluation of stifle surgery (ELKINS et al, 1991;VASSEUR & BERRY, 1992;DOVERSPIKE et al, 1993;CHAUVET et al, 1996;VASSEUR et al, 1996;ROOSTER & Van BREE, 1999). Progression of osteophytosis following implantation of the polyester prosthesis in dogs therefore demonstrates that the technique is not adequate in preventing joint instability as observed by VASSEUR et al (1996) and CAMARGO et al (2001) when using a similar prosthesis.…”

Fratura proximal de tíbia após cirurgia extracapsular para correção de ruptura de ligamento cruzado cranial em cão

“…A SFT utilizada na correção da RLCCr no cão deste relato é a técnica extra-articular mais comumente utilizada e tem se mostrado eficiente na estabilização da articulação do joelho, principalmente em cães de pequeno porte (KORVICK et al, 1994) com resultado bom ou excelente em 77 a 82% dos casos (CHAUVET et al, 1996). Existem poucos relatos de complicações relacionadas à SFT (CASALE & MCCARTHY, 2009), entre elas estão reação ao material de sutura (DULISCH, 1981), avulsão da fabela, déficit neurológico, complicações incisionais, lesão tardia do menisco, edema associado ao material de sutura e infecção (CASALE & MCCARTHY, 2009), não tendo sido relatada fratura de tíbia no local de passagem do fio da SFT como complicação da técnica.…”

Estudo biomecânico de duas técnicas extra-capsulares para estabilização do joelho com ruptura do ligamento cruzado cranial em cães

“…A sutura fabelo-tibial lateral, apesar de amplamente utilizada devido a sua relativa facilidade de execução e baixo custo de material apresenta resultados clínicos variáveis, sendo predominantemente classificados como satisfatórios (CHAUVET et al, 1996;CONZEMIUS et al, 2005). Conzemius et al (2005) sugerem que tal resultado esteja relacionado com o grau de osteoartrose pré-existente à intervenção cirúrgica, apesar de ter sido relatado por Gordon et al (2003) que o grau de severidade da osteoartrose ao exame radiográfico não possui valor preditivo com relação a função do membro.…”